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HR-Survey > 360-Degree Feedback > Competency Model > Problem-Solving Skills
Problem Solving - 360 Degree Feedback Survey Sample #5
360-Degree Assessment Survey November 2025
Dear Employee:
Questionnaires Measuring Problem Solving:
Thank you for providing feedback for the recipient above. As you Survey 1 (4-point scale; Competency Comments)
respond, please draw on your first-hand experience with this Survey 2 (4-point scale; Competency Comments)
individual in the past 12 months. Rate each item using the scale Survey 3 (5-point scale; Competency Comments)
shown. If you don't feel you have enough first-hand information to Survey 4 (5-point scale; radio buttons)
rate a certain item, please choose the Not Applicable option. Survey 5 (4-point scale; words)
Comments can be very helpful; at a minimum where you give a Survey 6 (4-point scale; words)
particularly high or low rating, please share your reasons in the Survey 7 (5-point scale; competency comments; N/A)
Closing Comments section. Your responses will be compiled with Survey 8 (3-point scale; Agree/Disagree words; N/A)
feedback from others and presented to the recipient to help guide Survey 9 (3-point scale; Strength/Development; N/A)
their ongoing development. Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Competencies Included: Survey 13 (4-point scale; numbers; floating anchors)
Problem Solving, Achievement, Technology Survey 14 (4-point scale; N/A)
Use/Management, Strategic Focus, Self Management,
Vision
Partially completed forms can be saved by using the Save/Still
Working button at the bottom of the page. You may return at a Sample Result Document:
later time to complete/edit the form. Your saved responses will be Sample Results
shown each time you re-visit the feedback form. When you are
certain that you have completed your responses and will be not
making any changes, click the Complete button.
Please ensure that your submission is made by November 16.
Thank you for your participation in the survey.
Management Team
Role Capable and Somewhat Needs
Problem Solving Model Effective Effective Development
Role Capable and Somewhat Needs
1. Determines what facts are relevant.
Model Effective Effective Development
2. Conducts a meticulous investigation of incidents to Role Capable and Somewhat Needs
ensure no possible cause is overlooked. Model Effective Effective Development
Role Capable and Somewhat Needs
3. Is able to isolate the main problem.
Model Effective Effective Development
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4. Continuously monitors performance after
Role Capable and Somewhat Needs
implementing a solution to ensure it remains
Model Effective Effective Development
effective.
5. Keeps a positive outlook and perseveres through Role Capable and Somewhat Needs
challenges. Model Effective Effective Development
6. Chooses a diverse group with relevant expertise and Role Capable and Somewhat Needs
perspectives for a brainstorming session. Model Effective Effective Development
Role Capable and Somewhat Needs
Achievement Model Effective Effective Development
7. Moves decisively in high-risk situations to secure Role Capable and Somewhat Needs
long-term achievements. Model Effective Effective Development
8. Defines precise, structured objectives that helps the
Role Capable and Somewhat Needs
department progress and holds employees
Model Effective Effective Development
accountable.
Role Capable and Somewhat Needs
9. Increased revenue for the company.
Model Effective Effective Development
Role Capable and Somewhat Needs
10. Maintains a results-oriented mindset.
Model Effective Effective Development
11. Eliminates bureaucratic barriers to streamline Role Capable and Somewhat Needs
processes. Model Effective Effective Development
Role Capable and Somewhat Needs
12. Strives to exceed standards of performance.
Model Effective Effective Development
Role Capable and Somewhat Needs
Technology Use/Management Model Effective Effective Development
13. Adopts the implementation of new technology into Role Capable and Somewhat Needs
the workplace. Model Effective Effective Development
14. Maximizes the use of new technology to deliver Role Capable and Somewhat Needs
products and services. Model Effective Effective Development
15. Supports employee training and development Role Capable and Somewhat Needs
initiatives regarding implementation of technology. Model Effective Effective Development
16. Applies complex rules and regulations to maintain Role Capable and Somewhat Needs
optimal system performance. Model Effective Effective Development
17. Uses technology in decision making and problem Role Capable and Somewhat Needs
solving. Model Effective Effective Development
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18. Identifies gaps between actual and needed technical
Role Capable and Somewhat Needs
competencies and provides recommendations for
Model Effective Effective Development
required training.
Role Capable and Somewhat Needs
Strategic Focus Model Effective Effective Development
19. Strategically positions resources to meet the needs Role Capable and Somewhat Needs
of field based employees. Model Effective Effective Development
20. Strategically positions resources to meet the needs Role Capable and Somewhat Needs
of branch locations. Model Effective Effective Development
21. Strategically deploys resources to areas of the Role Capable and Somewhat Needs
greatest need. Model Effective Effective Development
22. Modifies strategic decisions depending on changes Role Capable and Somewhat Needs
in the business environment. Model Effective Effective Development
23. Creates measures of performance and profitability Role Capable and Somewhat Needs
to assess financial objectives. Model Effective Effective Development
Role Capable and Somewhat Needs
24. Develops strategies to seek new opportunities.
Model Effective Effective Development
Role Capable and Somewhat Needs
Self Management Model Effective Effective Development
25. Does not allow own emotions to interfere with the Role Capable and Somewhat Needs
performance of others. Model Effective Effective Development
26. Analyzes own reactions on the spot to ensure that
Role Capable and Somewhat Needs
communication does not appear to be driven by
Model Effective Effective Development
anger.
27. Consciously controls own negative emotions in Role Capable and Somewhat Needs
order to keep team morale up. Model Effective Effective Development
28. Is aware of personal impact on others and adjusts Role Capable and Somewhat Needs
behavior to create a positive leadership presence. Model Effective Effective Development
29. Sets an example for associates during stressful Role Capable and Somewhat Needs
periods by maintaining a positive, can-do attitude. Model Effective Effective Development
30. Uses patience and self-control in working with Role Capable and Somewhat Needs
customers and associates. Model Effective Effective Development
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Role Capable and Somewhat Needs
Vision Model Effective Effective Development
31. Sets a schedule for achieving the organization's Role Capable and Somewhat Needs
vision. Model Effective Effective Development
Role Capable and Somewhat Needs
32. Effectively communicates the vision to employees.
Model Effective Effective Development
33. Develops action plans to align his/her work with the Role Capable and Somewhat Needs
goals of the organization. Model Effective Effective Development
34. Embodies the vision through consistent actions, Role Capable and Somewhat Needs
setting a visible example for others to follow. Model Effective Effective Development
35. Recognizes potential challenges and devises
Role Capable and Somewhat Needs
comprehensive strategies to navigate and mitigate
Model Effective Effective Development
these difficulties.
36. Develops and executes a strategic vision for the Role Capable and Somewhat Needs
organization. Model Effective Effective Development
37. Overall, please rate the effectiveness of [Participant Name Here].
5- Very Effective
4- Effective
3- Neither
2- Ineffective
1- Very Ineffective
38. Strengths
39. Areas for Development
40. Please give any final comments or suggestions for [Participant Name Here]'s assessment.
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